Browse > Article
http://dx.doi.org/10.4046/trd.2015.78.4.326

The Influence of Asian Dust, Haze, Mist, and Fog on Hospital Visits for Airway Diseases  

Park, Jinkyeong (Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Lim, Myoung Nam (Department of Internal Medicine and Environmental Health Center, Kangwon National University Hospital, Kangwon National University School of Medicine)
Hong, Yoonki (Department of Internal Medicine and Environmental Health Center, Kangwon National University Hospital, Kangwon National University School of Medicine)
Kim, Woo Jin (Department of Internal Medicine and Environmental Health Center, Kangwon National University Hospital, Kangwon National University School of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.78, no.4, 2015 , pp. 326-335 More about this Journal
Abstract
Background: Asian dust is known to have harmful effects on the respiratory system. Respiratory conditions are also influenced by environmental conditions regardless of the presence of pollutants. The same pollutant can have different effects on the airway when the air is dry compared with when it is humid. We investigated hospital visits for chronic obstructive pulmonary disease (COPD) and asthma in relation to the environmental conditions. Methods: We conducted a retrospective study using the Korean National Health Insurance Service claims database of patients who visited hospitals in Chuncheon between January 2006 and April 2012. Asian dust, haze, mist, and fog days were determined using reports from the Korea Meteorological Administration. Hospital visits for asthma or COPD on the index days were compared with the comparison days. We used two-way case-crossover techniques with one to two matching. Results: The mean hospital visits for asthma and COPD were $59.37{\pm}34.01$ and $10.04{\pm}6.18$ per day, respectively. Hospital visits for asthma significantly increased at lag0 and lag1 for Asian dust (relative risk [RR], 1.10; 95% confidence interval [CI], 1.01-1.19; p<0.05) and haze (RR, 1.13; 95% CI, 1.06-1.22; p<0.05), but were significantly lower on misty (RR, 0.89; 95% CI, 0.80-0.99; p<0.05) and foggy (RR, 0.89; 95% CI, 0.84-0.93; p<0.05) days than on control days. The hospital visits for COPD also significantly increased on days with Asian dust (RR, 1.29; 95% CI, 1.05-1.59; p<0.05), and were significantly lower at lag4 for foggy days, compared with days without fog (RR, 0.85; 95% CI, 0.75-0.97; p<0.05). Conclusion: Asian dust showed an association with airway diseases and had effects for several days after the exposure. In contrast to Asian dust, mist and fog, which occur in humid air conditions, showed the opposite effects on airway diseases, after adjusting to the pollutants. It would require more research to investigate the effects of various air conditions on airway diseases.
Keywords
Dust; Asthma; Pulmonary Disease, Chronic Obstructive; Fog;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Csavina J, Field J, Taylor MP, Gao S, Landazuri A, Betterton EA, et al. A review on the importance of metals and metalloids in atmospheric dust and aerosol from mining operations. Sci Total Environ 2012;433:58-73.   DOI
2 Park JW, Lim YH, Kyung SY, An CH, Lee SP, Jeong SH, et al. Effects of ambient particulate matter on peak expiratory flow rates and respiratory symptoms of asthmatics during Asian dust periods in Korea. Respirology 2005;10:470-6.   DOI
3 Watanabe M, Y amasaki A, Burioka N, Kurai J, Yoneda K, Yoshida A, et al. Correlation between Asian dust storms and worsening asthma in Western Japan. Allergol Int 2011;60:267-75.   DOI
4 Chiu HF, Tiao MM, Ho SC, Kuo HW, Wu TN, Yang CY. Effects of Asian dust storm events on hospital admissions for chronic obstructive pulmonary disease in Taipei, Taiwan. Inhal Toxicol 2008;20:777-81.   DOI
5 Tam WW, Wong TW, Wong AH, Hui DS. Effect of dust storm events on daily emergency admissions for respiratory diseases. Respirology 2012;17:143-8.   DOI
6 Pauwels RA, B uist AS, Calverley PM, Jenkins CR, Hurd SS; GOLD Scientific Committee. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary. Am J Respir Crit Care Med 2001;163:1256-76.   DOI
7 Handzel ZT. Effects of environmental pollutants on airways, allergic inflammation, and the immune response. Rev Environ Health 2000;15:325-36.
8 Sapey E, Stockley RA. COPD exacerbations. 2: aetiology. Thorax 2006;61:250-8.   DOI
9 Chauhan AJ, Johnston SL. Air pollution and infection in respiratory illness. Br Med Bull 2003;68:95-112.   DOI
10 Wedzicha JA, Seemungal TA. COPD exacerbations: defining their cause and prevention. Lancet 2007;370:786-96.   DOI
11 Chung YS, Ki m HS, Yoon MB. Observations of visibility and chemical compositions related to fog, mist and haze in South Korea. Water Air Soil Pollut 1999;111:139-57.   DOI
12 Lumb AB. Nun n's applied respiratory physiology. 7th ed. London: Elsevier Health Sciences; 2012.
13 Gyan K, Henr y W, Lacaille S, Laloo A, Lamsee-Ebanks C, McKay S, et al. African dust clouds are associated with increased paediatric asthma accident and emergency admissions on the Caribbean island of Trinidad. Int J Biometeorol 2005;49:371-6.   DOI
14 Hackney JD, Linn WS, Avol EL. Potential risks to human respiratory health from “acid fog”: evidence from experimental studies of volunteers. Environ Health Perspect 1985;63:57-61.   DOI
15 Kanatani KT, Ito I, Al-Delaimy WK, Adachi Y, Mathews WC, Ramsdell JW, et al. Desert dust exposure is associated with increased risk of asthma hospitalization in children. Am J Respir Crit Care Med 2010;182:1475-81.   DOI
16 Lee JT, Son JY, Cho YS. A comparison of mortality related to urban air particles between periods with Asian dust days and without Asian dust days in Seoul, Korea, 2000-2004. Environ Res 2007;105:409-13.   DOI
17 Garcia-Aymer ich J, Tobias A, Anto JM, Sunyer J. Air pollution and mortality in a cohort of patients with chronic obstructive pulmonary disease: a time series analysis. J Epidemiol Community Health 2000;54:73-4.   DOI
18 Kan H, Chen B. A case-crossover analysis of air pollution and daily mortality in Shanghai. J Occup Health 2003;45:119-24.   DOI
19 Tellez-Rojo MM, Romieu I, Ruiz-Velasco S, Lezana MA, Hernandez-Avila MM. Daily respiratory mortality and PM10 pollution in Mexico City: importance of considering place of death. Eur Respir J 2000;16:391-6.   DOI
20 Schwartz J, Dockery DW. Increased mortality in Philadelphia associated with daily air pollution concentrations. Am Rev Respir Dis 1992;145:600-4.   DOI
21 Arbex MA, de Souza Conceicao GM, Cendon SP, Arbex FF, Lopes AC, Moyses EP, et al. Urban air pollution and chronic obstructive pulmonary disease-related emergency department visits. J Epidemiol Community Health 2009;63:777-83.   DOI
22 Anto JM, Ver meire P, Vestbo J, Sunyer J. Epidemiology of chronic obstructive pulmonary disease. Eur Respir J 2001;17: 982-94.   DOI
23 Holguin F. Traffic related exposures and lung function in adults. Thorax 2007;62:837-8.   DOI
24 Long W, Tate RB, Neuman M, Manfreda J, Becker AB, Anthonisen NR. Respiratory symptoms in a susceptible population due to burning of agricultural residue. Chest 1998;113: 351-7.   DOI
25 Rodriguez-Roisin R. Toward a consensus definition for COPD exacerbations. Chest 2000;117(5 Suppl 2):398S-401S.   DOI
26 Sethi S, Murphy TF. Infection in the pathogenesis and course of chronic obstructive pulmonary disease. N Engl J Med 2008; 359:2355-65.   DOI
27 Ko FW, Hui DS. Air pollution and chronic obstructive pulmonary disease. Respirology 2012;17:395-401.   DOI
28 Ewing SA, Christensen JN, Brown ST, Vancuren RA, Cliff SS, Depaolo DJ. Pb isotopes as an indicator of the Asian contribution to particulate air pollution in urban California. Environ Sci Technol 2010;44:8911-6.   DOI
29 Muhlfeld C, Rothen-Rutishauser B, Blank F, Vanhecke D, Ochs M, Gehr P. Interactions of nanoparticles with pulmonary structures and cellular responses. Am J Physiol Lung Cell Mol Physiol 2008;294:L817-29.   DOI
30 Higgins BG, Francis HC, Yates CJ, Warburton CJ, Fletcher AM, Reid JA, et al. Effects of air pollution on symptoms and peak expiratory flow measurements in subjects with obstructive airways disease. Thorax 1995;50:149-55.   DOI